一位護理長面臨人力不足的單位，下列哪項管理策略最合適？
A charge nurse is managing an understaffed unit. Which management strategy is most appropriate?
- ADelegate high-acuity patient care to unlicensed personnel將高需求病人的照護委派給無照人員
- BCancel all non-essential staff training and meetings取消所有非必要的員工培訓和會議
- CClose the unit to new admissions indefinitely無限期地關閉單位以接收新入院病人
- DRequest the hospital administration to provide additional staffing resources✓ 正解請求醫院行政部門提供額外的人力資源
護理管理的核心在於確保病人安全與護理品質，當單位人力嚴重不足時，護理長（Charge Nurse）必須採取結構化的管理途徑。首先應嘗試透過行政管道爭取資源，這是解決人力瓶頸的根本途徑。若直接採取極端措施如關閉單位，會影響醫療體系的運作與病人可近性；若將高需求病人交給無照人員，則嚴重違反護理執業範圍（Scope of Practice），將危及病人安全。
The core of nursing management is to ensure patient safety and quality of care. When the unit is severely understaffed, the charge nurse must take a structured management approach. The first step is to seek resources through administrative channels, which is the fundamental way to resolve staffing shortfalls. Taking extreme measures such as closing the unit affects the operation of the healthcare system and patient access, while delegating high-acuity care to unlicensed personnel seriously violates the scope of nursing practice and endangers patient safety.
美國醫院對於護理師與病人的比例（Nurse-to-Patient Ratio）有更嚴格的規範與法律保障，護理長在人力調度上需遵循醫院政策與工會規定，較少出現擅自封閉單位的情況。